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Journal ID : TMJ-07-11-2021-10781
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Title : Hysterosalpingography in Evaluation of Infertile Women in Mosul City, Iraq

Abstract :

Infertility is a worldwide health problem, with its prevalence seems to be increasing. Infertility could be attributed to the female factor, male factor, both factors, and unexplained factors. Hysterosalpingography plays an important role in the workup of female factor infertility. The aim of our study is to review the hysterosalpingographic findings in infertile women in our locality. A prospective study, on 192 women investigated by hysterosalpingography in our center as a part of an infertility workup, for a period from May 2020 to January 2021. Patients were (17-45) years old, the mean age is (28.7) years, Std. Deviation is 6.6 year, of them, 105 (54.7%) primary infertility, and 87 (45.3%) were secondary infertility. The duration of infertility ranges between (1-19 years), the mean duration is 4.6 years, Standard Deviation is 3.5 years. The main hysterosalpingographic findings were normal exam (52%), tubal abnormalities (22.9%), uterine abnormalities (17 %), pelvic abnormalities (2.6 %), cervical abnormalities (1%), and minor abnormalities (11.9%). 7.8 % of the patients were having more than one abnormal finding in the same film. Hysterosalpingography still plays an important role in the evaluation of infertility, despite the development of many new modalities. It is a helpful tool in identifying the underlying structural pathology mainly tubal and uterine abnormalities, the commonest hysterosalpingeographic abnormality in infertile women is the tubal pathology, primary prevention of pelvic inflammatory disease is crucial to prevent tubal infertility.

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